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Unformatted text preview: current as of September 10, 2008. Online article and related content http://jama.ama-assn.org/cgi/content/full/279/21/1703 . 1998;279(21):1703-1708 (doi:10.1001/jama.279.21.1703) JAMA Paula M. Lantz; James S. House; James M. Lepkowski; et al. Prospective Study of US Adults Mortality: Results From a Nationally Representative Socioeconomic Factors, Health Behaviors, and Correction Contact me if this article is corrected. Citations Contact me when this article is cited. This article has been cited 382 times. Topic collections Contact me when new articles are published in these topic areas. Obesity; Public Health the same issue Related Articles published in . 1998;279(21):1745. JAMA Redford B. Williams. the Potential for Successful Interventions Lower Socioeconomic Status and Increased Mortality: Early Childhood Roots and Related Letters . 2003;289(1):45. JAMA Linda L. Humphrey et al. Coronary Heart Disease Relationship Between Hormone Replacement Therapy, Socioeconomic Status, and http://pubs.ama-assn.org/misc/permissions.dtl email@example.com Permissions http://jama.com/subscribe Subscribe firstname.lastname@example.org Reprints/E-prints http://jamaarchives.com/alerts Email Alerts at Weill Cornell Medical College on September 10, 2008 www.jama.com Downloaded from Original Contributions Socioeconomic Factors, Health Behaviors, and Mortality Results From a Nationally Representative Prospective Study of US Adults Paula M. Lantz, PhD; James S. House, PhD; James M. Lepkowski, PhD; David R. Williams, PhD; Richard P. Mero, MS; Jieming Chen, PhD Context. A prominent hypothesis regarding social inequalities in mortality is that the elevated risk among the socioeconomically disadvantaged is largely due to the higher prevalence of health risk behaviors among those with lower levels of education and income. Objective. To investigate the degree to which 4 behavioral risk factors (ciga- rette smoking, alcohol drinking, sedentary lifestyle, and relative body weight) explain the observed association between socioeconomic characteristics and all- cause mortality. Design. Longitudinal survey study investigating the impact of education, income, and health behaviors on the risk of dying within the next 7.5 years. Participants. A nationally representative sample of 3617 adult women and men participating in the Americans Changing Lives survey. Main Outcome Measure. All-cause mortality verified through the National Death Index and death certificate reviews. Results. Educational differences in mortality were explained in full by the strong association between education and income. Controlling for age, sex, race, urbanicity, and education, the hazard rate ratio of mortality was 3.22 (95% confi- dence interval [CI], 2.01-5.16) for those in the lowest-income group and 2.34 (95% CI, 1.49-3.67) for those in the middle-income group. When health risk behaviors were considered, the risk of dying was still significantly elevated for the lowest- income group (hazard rate ratio, 2.77; 95% CI, 1.74-4.42) and the middle-incomeincome group (hazard rate ratio, 2....
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This note was uploaded on 10/12/2008 for the course DSOC 1101 taught by Professor Hirshel during the Fall '07 term at Cornell University (Engineering School).
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